Northern Lakes Nursing and Rehabilitation Center

Name: Northern Lakes Nursing and Rehabilitation Center
Address: 516 N WILLIAMS ST, Angola, IN, 46703, US
Telephone: 2606659467

516 N Williams St, Angola, IN 46703 · Steuben County · 99 certified beds · avg 83 residents/day · certified since Jul 1, 1992

1/5

Health inspection rating (on-site)

Serious findings on record

$174,525

Fines, last 3 years

3.80

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Sep 17, 2025 · F-0580 · triggered by a complaint

The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.

Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Oct 10, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · Sep 17, 2025 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Corrected: Oct 10, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 4, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Sep 17, 2025	▲ J · Immediate jeopardy, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Sep 17, 2025	▲ J · Immediate jeopardy, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 10, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Dec 10, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 10, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 10, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 11, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Dec 11, 2023	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).

Year	Citations	Serious (G–L)	Worst severity that year
2023	2	0	D
2024	4	0	D
2025	6	2	J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $174,525.

Date	Type	Amount / length
Sep 17, 2025	Fine	$174,525

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Indiana avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.80	3.42	3.95	top 22% in Indiana; top 49% in the U.S.
Registered Nurse hours	0.68	0.62	0.69	top 32% in Indiana; top 39% in the U.S.
Weekend total nurse staffing	3.32	3.01	3.50	top 24% in Indiana; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.31	0.47	0.48	bottom 25% in Indiana; bottom 34% in the U.S.
Total nursing staff turnover (%)	38.1	45.9	45.8	top 26% in Indiana; top 31% in the U.S.
RN turnover (%)	27.3	40.4	42.9	top 26% in Indiana; top 24% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.60, weekend 2.96. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Angola Healthcare LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2015
Crover, Donna	Individual	W-2 Managing Employee	NOT APPLICABLE	05/27/2005
Malott, Gregg	Individual	Corporate Director	NOT APPLICABLE	10/01/2015
Malott, Gregg	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2015
Pulaski Memorial Hospital	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2015
Smallman, Dee Anna	Individual	W-2 Managing Employee	NOT APPLICABLE	11/20/2000

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Lakeland Rehab and Healthcare Center	0.0 mi	Angola, IN	★★☆☆☆	2/5
Pines of Dekalb	15.5 mi	Butler, IN	★★★★★	4/5
Betz Nursing Home	17.6 mi	Auburn, IN	★★★★★	5/5
Lutheran Life Villages	18.0 mi	Kendallville, IN	★★★★★	5/5
Park View Care Center	18.3 mi	Edgerton, OH	★★★★★	4/5
Kendallville Manor	18.4 mi	Kendallville, IN	★★★★★	5/5
Auburn Village	18.6 mi	Auburn, IN	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Angola →

Facility data as of CMS processing date 2026-08-01. CCN 155449.

The Care File

Visit checklist — Northern Lakes Nursing and Rehabilitation Center

516 N Williams St, Angola, IN 46703 · 2606659467

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $174,525

Most serious findings on record:

▲ Sep 17, 2025 (F-0580, Immediate jeopardy, one-off): The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
▲ Sep 17, 2025 (F-0684, Immediate jeopardy, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 155449 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)